Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

St Joseph Primary LLC

Organization Family Medicine Physician · NPI 1477590164

St Joseph Primary LLC provides Family Medicine Physician services in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

188 E Southway Blvd
Kokomo, IN 46902-3650 Not confirmed with CMS for 18 years — call before visiting
Phone: (765) 453-9000
Fax: (765) 457-4443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IN)

Record details

NPI number1477590164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Kellar — Regional Practice Administrator · (765) 457-8381
Other names St Joseph Physicians Southway
NPI enumeratedJune 1, 2006
Last updated in NPPESNovember 16, 2007
Mailing address188 E Southway Blvd, Kokomo, IN 46902-3650

Other providers in Kokomo